Provider Demographics
NPI:1174595821
Name:DIMEN, LAUREN ASHFORTH (MD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ASHFORTH
Last Name:DIMEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:145 VISTA AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-3607
Mailing Address - Country:US
Mailing Address - Phone:626-397-8335
Mailing Address - Fax:626-397-3850
Practice Address - Street 1:301 E HUNTINGTON DR
Practice Address - Street 2:SUITE 320
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3747
Practice Address - Country:US
Practice Address - Phone:626-447-3516
Practice Address - Fax:626-447-3517
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG76200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics